Latrobe City - Application Form

What year would you like your child to commence? *

Please select 3 year old or 4 year old kindergarten below*

Children must be three years of age before they can start kinder.

IMPORTANT INFORMATION, PLEASE READ BELOW
Is your child ready for kinder? Children born between January to April 2022 (3-year-old) have the option to start kinder in either 2025 or 2026. Children are unable to start until they turn 3.

Child's Name*

First NameLast Name

Gender*

MaleFemaleOther

Child's Date of Birth*

Is this child a twin or a triplet? (Please complete an enrolment form for each child)*

NoTwinTriplet

Is your child attending 3 year old kinder in 2024?*

YesNo

Name of 3 Year Old Kinder*

Is this child Aboriginal or Torres Strait Islander?*

NoTorres Strait IslanderAboriginalBoth Aboriginal and Torres Strait Islander

Language/s spoken at home:*

Has this child already attended a year of 4 year old kindergarten?*

YesNo

Has this child already attended a year of 3 year old kindergarten?*

YesNo

Please note children are only entitled to one year of funded three year old kinder, your child will need to be enrolled for four year old kinder in 2025. You will not be able to submit this registration for 2025, please contact Family Services on 1300 367 700 or email fsadmin@latrobe.vic.gov.au to discuss this further.

Please provide details of Kindergarten currently attending.*

Parent / Guardian 1*

First NameLast Name

Country of birth of Parent/Guardian 1*

Relationship to the child*

Parents / Guardian Date of Birth:*

Date

Address*

Street Address

Street Address Line 2

CityState

Post Code

Phone Number*

Email*

Please Note: You will be notified of all correspondence via email

Does this child have a second Parent / Guardian?*

YesNo

Parent / Guardian 2*

First NameLast Name

Country of birth of Parent/Guardian 2*

Relationship to the child*

Parents / Guardian Date of Birth:*

Date

Address*

Street Address

Street Address Line 2

CityState

Post Code

Phone Number*

Email*

The Government’s No Jab No Play laws require all children to be age-appropriately immunised before enrolment can be confirmed. Further information on immunisation requirements for enrolment in early childhood services is available on the State Government's Better Health Channel.

You can get your immunisation history statement straight away by accessing your medicare online account via my.gov.au.

Please note: Only Immunisation History Statements from the Australian Immunisation Register will be accepted as evidence of immunisation.

Are your child's immunisation up to date?*

YesNo

Due to the State Government policy No Jab No Play your child may not secure an enrolment place in a funded Kindergarten program if proof of immunisation cannot be provided.

Please attach your child's immunisation record*

Browse Files

Do you consent to the Latrobe City Maternal and Child Health service receiving your information? If yes, the Maternal and Child Health team will ensure your child is provided with the opportunity to attend a 3.5 year old appointment.*

YesNo

Please indicate if you are eligible for one of the following concessions, or meet one of the following criteria below, this information will assist with the priority of access process:

Health Care Number*

Health Care Card Expiry Date*

Pensioner Number*

Pensioner Expiry Date*

Supporting documentation will need to be sighted at the service at the start of the kinder year.

Does your child have an identified developmental delay or disability including intellectual, sensory or physical impairment or additional needs?*

YesNo

If yes, please specify below. As you have answered yes to this question, please be advised that a Preschool Field Officer (PSFO) will be in contact in regards to how we can best support your child at preschool.*

0/254

Does your child have NDIS Funding?*

YesNo

Is your child registered with a specific Support Service / Agency?*

YesNo

Name of Support Service / Agency:*

Is your child or family known to child protection or connected with the Department of Families, Fairness and Housing or any other support services (eg. Orange Door, Anglicare, Uniting)?*

YesNo

Please provide further information*

Priority of access

We support the Department of Education and Training (DET) policy direction that prioritises the inclusion of children with additional needs, children of Aboriginal and Torres Strait Islander background, asylum seeker and refugee families with an appropriate visa, children known to Child Protection and a child or parent that holds a Commonwealth Health Care Card, Pensioner Concession Card, Veteran’s Affairs Card or multiple birth children (triplets, quadruplets). Families that demonstrate that they have a child in one of these categories will be allocated to a kindergarten program as a high priority.

Please note: the following services are NOT managed or operated by Latrobe City Council, please contact them directly for questions related to session days and times, fees and charges before adding them as a preference. (1) Mid Valley Kinder and Childcare Morwell (2) Bluebird Early Education Moe (3) Little Saints Early Learning Traralgon (4) Little Saints Early Learning Moe (5) Federation Childrens Centre Churchill.

Please select your preferences 1 to 6. You cannot use the same kinder twice in your selections.

TIMELINES
First Round Offers	Late August
Acceptance of Offers Due	Mid September (two weeks after offer)
Second Round Offers	Early October
Acceptance of Offers Due	Mid October (two weeks after offer)
Subsequent Offers	Weekly or when vacancies become available

Born Between	Year Eligible for 4YO	Year Eligible for 3YO
2020 - 30/04/2021	2025
2021 - 30/04/2022		2025

2024 Kindergarten Registration Form

2025 Kindergarten Registration Form

Child's Details

Contact Details

Immunisation Details

Kinder Fee Subsidy

Children with Additional Needs

Kindergarten Preferences

Session Preferences

Special Consideration

AUTHORISATION AND DECLARATION